Equine-related injury: a retrospective analysis of outcomes over a 10-year period

Am J Surg. 2008 May;195(5):702-4. doi: 10.1016/j.amjsurg.2007.11.007.

Abstract

Background: Morbidity and financial loss caused by equine-related injuries may be significant. The purposes of this study were to determine the patterns of equine-related injury and the impact on outcomes.

Methods: A 10-year retrospective review of equine-related injuries was performed. Age, gender, mechanism, injury severity score, Glasgow Coma Score, length of stay, surgical interventions, and mortality were assessed.

Results: Of 80 emergency department evaluations, 76 patients were admitted and form the basis of this study. The most frequent mechanism of injury was fall (68%), followed by crush injuries (15%), kicks (8%), and trampling (5%). Musculoskeletal injuries were most common (64%). Thirty-eight (50%) patients required surgical intervention. Thirty-seven (52%) patients were discharged home; 34% required outpatient physical therapy, and 14% required inpatient rehabilitation. The mortality rate was 7%.

Conclusions: Equine-related injuries resulted in significant morbidity; most victims required outpatient or inpatient rehabilitation. The use of preventive strategies may minimize mortality and reduce the financial impact of postinjury morbidity.

MeSH terms

  • Accidental Falls / statistics & numerical data*
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Craniocerebral Trauma / epidemiology*
  • Female
  • Glasgow Coma Scale
  • Horses*
  • Humans
  • Injury Severity Score
  • Length of Stay
  • Male
  • Middle Aged
  • Musculoskeletal System / injuries*
  • Retrospective Studies